What is a Medicare appeal? Can I appeal Medicare decision? Check your claim status with MyMedicare.
File an appeal How to appeal a coverage or payment decision made by Medicare, your health plan, drug plan or Medicare Medical Savings Account (MSA) Plan. Please use the following address and post office boxes to submit requests for claim redeterminations (first level appeals ) to Novitas Solutions.
If you have Original Medicare , start by looking at your Medicare Summary Notice (MSN). Appeals in Original Medicare. You must file your appeal within 1days of the date you get the MSN.
Level 1: Redetermination by the company that handles claims for Medicare. To get a copy, visit CMS. Follow the instructions for sending an appeal.
Any new information about a previously denied service will assist in an accurate and appropriate benefit determination.
In writing to the MAXIMUS address indicated on the notice of redetermination. QIC Part A West standard reconsideration requests should be mailed to: Maximus Federal Services, Inc.